Title: Virtual reality simulation training for nursing staff: Enhancing skills in managing post-thyroidectomy haemorrhage
Abstract:
Background: Post-thyroidectomy haemorrhage (PTH) is a potentially fatal complication due to the risk of airway obstruction. The British Association of Endocrine and Thyroid Surgeons (BAETS) guidelines highlight the critical role of nursing staff (NS), as first responders, in promptly recognising and escalating care.1 Virtual reality simulation training (VRST) offers an innovative and risk-free method to replicate emergency scenarios, enabling NS to develop critical skills and ensure patient safety.2
Objectives:The primary objective was to train 70% of NS on a head and neck surgical ward, in a tertiary hospital, in recognising and managing PTH. Secondary objectives included evaluating VRST’s impact on knowledge acquisition and confidence.
Methods: All participants were offered a VR module simulating PTH, followed by a lecture on the BAETS protocol. Pre- and post-training assessments measured knowledge and confidence. Feedback was collected via surveys. Paired t-test was performed on the percentage total assessment scores.
Results: Thirty-six participants completed the training course (100% of NS were trained in 5 hours), with 97% engaging in VRST. Pre- and post-training total mean assessment scores demonstrated significant improvement in knowledge acquisition: 44.6% to 75.5% (p < 0.0001). Mean confidence ratings were also increased from 2.5 to 4.2. Participants overwhelmingly endorsed the training, with 83% rating 5/5 usefulness and 94% would like more VRST in the future.
Conclusion: VRST is a highly effective and engaging method for equipping NS with the skills necessary to manage PTH. This study highlights its potential as a scalable training tool to improve clinical knowledge and patient safety outcomes in emergency situations.
